Bone Management in Pregnancy Outcomes in Epilepsy
Bone Health Management on Pregnancy Outcomes in Women With Epilepsy: Randomized Study
1 other identifier
interventional
80
1 country
1
Brief Summary
This study is aimed to evaluate the efficacy of bone health management in improving pregnancy outcomes among WWE, and establish evidence-based vitamin D supplementation strategies for childbearing-age WWE.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2026
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 17, 2026
CompletedStudy Start
First participant enrolled
June 1, 2026
CompletedFirst Posted
Study publicly available on registry
June 16, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2035
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2035
June 16, 2026
April 1, 2026
8.6 years
April 17, 2026
June 11, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Bone metabolisms indicators in offspring
25-hydroxy Vitamin D (ng/ml),procollagen type 1 N-terminal propeptide (P1NP, ng/ml),osteocalcin (OC, ng/ml)
Childbirth
Bone metabolisms indicators in offspring
Parathyroid hormone (PTH, ng/L)
Childbirth
Bone metabolisms indicators in offspring
β-crosslaps (β-CTX, pg/ml)
Childbirth
Bone metabolisms indicators in offspring
Body length(cm)
Childbirth
Bone metabolisms indicators in offspring
Weight(g)
Childbirth
Bone metabolisms indicators in offspring
Head circumference(cm)
Childbirth
Secondary Outcomes (4)
Live birth rate without major congenital malformations (MCMs)
The outcome will be assessed at two critical time points:At Birth (Day 0-7 Post-Delivery),Within 30 Days Postnatal
Maternal Bone metabolisms indicators
12, 24, and 36 weeks of pregnancy, the time during delivery
Maternal Bone metabolisms indicators
12, 24, and 36 weeks of pregnancy, the time during delivery
Maternal Bone metabolisms indicators
12, 24, and 36 weeks of pregnancy, the time during delivery
Study Arms (2)
calcium + vitamin D group
EXPERIMENTALIntervention for epilepsy patients
standard of care group
NO INTERVENTIONEpilepsy patients receive normal follow-up without any intervention.
Interventions
Test bone metabolism indicators at 10-14 weeks of pregnancy and intervene based on vitamin D levels. * For vitamin D levels \> 20 ng/ml: Supplementation with 725 mg of calcium + 500 IU of vitamin D daily. * For 10 ng/ml \< vitamin D levels ≤20 ng/ml: Supplementation with 725 mg of calcium + 900 IU of vitamin D daily. * For vitamin D levels ≤10 ng/ml: Supplementation with 725 mg of calcium + 1300 IU of vitamin D daily.
Eligibility Criteria
You may qualify if:
- Diagnosis of focal or generalized epilepsy as defined by the International League Against Epilepsy.
- Women of childbearing age, aged ≥18 years, planning pregnancy or in early pregnancy (≤16 weeks gestation, confirmed by last menstrual period or ultrasound) - single pregnancy.
- Willing and able to provide written informed consent.
You may not qualify if:
- Pre-existing conditions affecting bone metabolism: primary hyperparathyroidism, Paget's disease, multiple myeloma, chronic kidney disease (eGFR \<60 mL/min), cirrhosis (Child-Pugh B/C), or untreated hyper/hypothyroidism.
- History of metabolic complications: hypercalcemia (serum Ca²⁺ \>10.5 mg/dL), nephrolithiasis, or granulomatous diseases.
- Recent/current use of bone-modifying drugs: bisphosphonates, glucocorticoids (≥5 mg/day prednisone equivalent for \>1 month), or loop diuretics within the past year.
- Ultrasound shows fetal malformation.
- Presence of other severe systemic diseases deemed unsuitable for study participation by the investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Fourth Affiliated Hospital of Zhejiang University School of Medicine
Zhejiang, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- CARE PROVIDER
- Masking Details
- pediatricians, lab researchers, statistician
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 17, 2026
First Posted
June 16, 2026
Study Start
June 1, 2026
Primary Completion (Estimated)
January 1, 2035
Study Completion (Estimated)
January 1, 2035
Last Updated
June 16, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share